Risk Management Conserving your wealth. Starting out The Paycheck – Explain? Biweekly Paycheck for Annual Salary of $30,643 Gross Pay Social Security (6.2%) Medicare (1.45%) Withholding taxes Medical Premium 401K Net Pay 1178.26 73.05 17.08 117.83 22.20 47.13 Employer Contribution Social Security Medicare State Unemployment Medical Premium 401K 73.05 17.08 22.35 101.16 47.13 900.96 Worker's Compensation 33.95 Federal Unemployment 2.15 296.87 Analyzing your paycheck • Go home and look at your paycheck in (some of these are only available on employer websites) • Share with the class all the items on your paycheck and be prepared to explain what they are Social Security – The Big Picture • Workers paying Social Security taxes: 156.5 million • Tax Rate (on both the employee and employer): 5.3 percent for old age (in 2007) 0.9 percent for disability • Medicare Tax Rate (on both the employee and employer): 1.45 percent of salary • Maximum wage taxed: $ 97,500 (in 2007) • Total Receiving benefits 39.7 million – Retired workers 30.0 million – Wife, husband, child of retired worker 3.1 million – Survivors 6.7 million • Average monthly benefit: Retired workers $ 955 Social Security • Started in 1935 as safety net for elderly • Has three programs: – Old age and survivor insurance (OASI) – provides income for elderly and their survivors – Disability insurance (DI) – provides income for those disabled and unable to earn their support – Medicare – health insurance for the elderly Social Security Benefits • Considered fully insured if you’ve worked 40 quarters (ten years) • Those who earn the most get the most but lower-income folks get relatively more • Can retire at age 62 (reduced benefit) – benefits increase the more you work • Actual benefit calculation is complicated so you are encouraged to get and review your social security statement every year • www.socialsecurity.gov Issues with Social Security • Accounts for 3.54% of our GDP (total economy of the US) • Right now more contributions than benefits being paid because 4 workers to every retiree • Government is borrowing surplus for other spending • In 2017 will pay more benefits than contributions • In 2040, 2.5 workers for every retiree only able to pay 74 cents of every dollar of benefits Exercise in Reading Social Security Statement • Download “Your Social Security Statement” from www.socialsecurity.gov • Answer the following: – – – – – – Only individuals pay social security tax (T/F) What is the maximum salary taxed? What part of the statement should be checked every year? You can’t retire before age 65 (T/F) How much will this individual get if she retires at age 65? This is an accurate amount that she can depend on. (T/F) What are employee benefits? • Benefits that are given to the individual in the workplace (you have to be working) • Based on partnership between individual, employer, and government – Individual may contribute share – Employer contributes – Government may provide some (social security and Medicare) or provide tax benefits to employers What are employee benefits • The most common employee benefits are: – Retirement benefits – Healthcare benefits – Leave or days off with pay – Disability Class Activity – Benefits What kind of benefits do you get at IBM? http://www-03.ibm.com/employment/us/pb_benefits.shtml Check out local company benefits • • • • • • http://www.boeing.com/employment/benefits/us_benefits.html http://www.starbucks.com/customer/faq_qanda.asp?name=jobs http://members.microsoft.com/careers/mslife/benefits/plan.mspx http://www.seattle.gov/personnel/employment/benefits.asp http://www.costco.com/Service/FeaturePageLeftNav.aspx?Product No=10045087 http://www.wamu.com/about/jobs/whyworkatwamu/benefits.asp • Form groups and research these companies. • Present your findings to the class. Look at your own benefits • Investigate the benefits offered by your employer. • Reflect on what they are and how they help you. Risk management in your 20s Risks of insurance • Being uninsured/under-insured and unable to absorb the costs of the occurrence without taking a hit to your net worth. • Being over-insured and paying for insurance that will not increase the benefit that you receive. • Not being in compliance with state law and suffering the consequences. • Being ill informed and thinking you were covered adequately and discovering you were not covered adequately after the event occurred. 16 Auto insurance 17 Auto insurance liability • Bodily injury. This covers damage you have done to someone else involved in an accident for medical expenses, lost wages and pain and suffering from the accident. There are limits per person and for the accident in your policy. • Property damage. Damage to another’s property caused by you or by someone who is driving your car with your permission is the second kind of liability covered by auto insurance. • Uninsured/underinsured motorist. This coverage protects you if you are involved in an accident with a person who is not insured. It takes the place of the insurance that the driver should have purchase. It can cover bodily injury and property damage. 18 Coverage for you • Personal injury protection (PIP): Covers medical expenses for injuries sustained in an automobile accident, income replacement coverage and funeral expenses • Collision coverage: This covers damage to your car that is caused by a collision or your car hitting something else. • Comprehensive coverage (other than collision): This covers damage to your car that is not caused by collision. For example, if a tree falls on your car or someone breaks into the car and damages it. 19 Rates depends on risk • Insurance companies charge based on risk: – Preferred market -- This market refers to low-risk drivers with exceptional driving records. These folks enjoy the lowest premiums. – Standard market -- This market refers to the average driver who uses family-type cars and has a reasonably good driving record. Insurance premiums are higher. – Non-standard market -- Some drivers have a hard time obtaining insurance. This can result from a poor driving record, type of vehicle, claims 20 history, experience, etc. Would the following make your insurance higher or lower? • • • • • • • • • Married Over 65 Under 25 and male Low crime neighborhood Drive less than average miles in a year No traffic violations Two previous accidents High deductible for collision Low deductible for comprehensive 21 Buying your insurance • Agents - represent either specific companies or a number of companies. Commission based. • Direct Writers - insurance company sells its policies through salaried employees who are licensed agents and represent that company exclusively. The company does not usually pay a commission to agents. • Brokers - represent and work for you, but they also work for the insurance companies that pay them. Typically, you tell the broker the type of coverage you want and the amount you want to spend. Brokers survey the market and bring back options for you to review. Brokers also receive a commission on their sales. 22 Research thoroughly • • • • Make sure that it is financially stable by checking its AM Best (www.ambest.com) and Standard and Poors (www.standardandpoors.com) ratings. Check customer satisfaction. Consumer Reports (also available at your local library) publishes information on that. Check other rating services such as JD Powers Ratings http://www.jdpower.com/finance/ratings/auto_insurance/index.asp Go the Washington state Insurance Commissioner’s website and check on its complaint record (https://fortress.wa.gov/oic/complaints/auto.aspx?Year=2005). Make sure the company you’re considering is licensed to do business in Washington. If you have questions about a company, call the Washington state Insurance Consumer Hotline at 800-562-6900. 23 Activity – Evaluate insurance companies • The three largest auto insurers are: – State Farm – Safeco – Farmers • Evaluate these on financial stability, customer satisfaction and complaints. 24 Shopping for insurance 1. Buy a car that is not expensive to insure. 2. Make a list of all the people in your household who have driver’s licenses. 3. Make a list of all the coverage you want using the table below. 4. Pull your credit report to see and correct any errors. 5. Have a history of your auto claims and traffic violations. 6. Use internet quoting services to get an idea of how much your auto insurance will cost and keep it in a file. 7. Check rating services such as Consumer Reports and JD Powers. Ask a reputable auto body repair shop which insurance company is the best. Check the Washington state Insurance Commissioner for complaints. Check for financial stability at AM Best or Standard and Poors. 8. Call the agent or broker for the insurance company you want to check 25 out. 9. Get the quote in writing. Activity • Using the auto coverage above, go to the following sites and get a quote for auto insurance for yourself. Were the rates different? • www.esurance.com • www.geico.com • www.gmac123.com • www.progressive.com 26 Get your credit score • http://bankrate.com/brm/fico/calc.asp?lp id=BKRATE29 • What factors do credit rating services use? 27 Credit Score 28 Your rights on credit • • • • Insurers are restricted from increasing your rates if you don't have a credit history unless they have documented with the Insurance Commissioner that lack of credit history results in more risk. Insurance companies cannot use your credit history to cancel or non-renew your current insurance policy. They cannot deny you coverage based an absence of credit history, number of credit inquiries, purchase of a vehicle or house that increases the amount of debt you have, particular use type of credit or charge card, or total amount of available credit. If you are applying for new coverage, the insurance company cannot use just your credit score. It must also consider other substantive factors when deciding whether or not to offer your coverage. By law your insurance rates cannot be based on these number of credit inquiries, the initial purchase of a new vehicle or house that increases the amount of debt you have, particular use type of credit or charge card, or total amount of available credit, or total amount of available credit, or an absence of credit history unless they have documented that this causes more risk. 29 Credit score and insurance 1. Ask your insurance agent or company if they use credit information, how they use it and whether it affects your premium. 2. Get a copy of your credit report from each of the three national credit bureaus and correct any errors. 3. Tell your insurance agent and company about any errors, and tell them your side of the story. 4. Improve your credit history if you have had past credit problems. Ask your agent or company for the primary reasons (factors) that your insurance credit score is low and work to improve those pieces of your credit history. 5. If you are paying higher premiums because of your credit history, ask your insurer to re-evaluate you when your credit improves. 6. Shop around for insurance. Insurance companies use credit information in different ways, so your rates can vary dramatically from company to company. 30 You’ve had an accident, what should you do? 31 Healthcare insurance 32 Healthcare costs are rising 33 Healthcare Benefits • • • • Protect workers from financial loss with serious illness or injury Promoting health leads to increased productivity (less sick days) Way to recruit workers Who is covered: – 101.5 millions workers covered by employment-based health benefits – 76% through own employer and 24% through a family member – 14.9 million nonworking adults and 42.9 million children • Who offers health coverage: – 100% of employers with 200 or more employees offered health benefits – 61% of employers with 3 to 199 workers offer health benefits Healthcare Benefits Percent of Workers and Healthcare Benefits Prescription Drugs Vision Participate Access Dental Medical 0% 10% 20% 30% 40% 50% 60% 70% 80% Medical coverage • 80% of workers between 16 and 64 are offered medical coverage and 82% of these folks took it • When you start a job, there is typically a waiting period before you are covered. Workers in retail have to wait on average 2.8 months before they are covered. Workers in service have to wait on average 1.5 months • Many companies also cover employee dependents • Employees share in the cost of the coverage. In 2004, employees paid on average $47 per month for single coverage and $222 per month for family coverage. – Employees cover: • 18% of single coverage (average cost to employer $246.72 per month) • 30% of family coverage (average $592.38 per month) • Some employers have healthcare reimbursement accounts which allow employees to pay for out-of-pocket costs with pretax dollars Medical coverage • All plans limit payment and require employees to share – Deductible ($100 to $500) – requires employee to cover the first dollars used in a year – Coinsurance (typically 20%) employee has to pay a portion of expenses, some services have employee pay fixed fee per visit – Out-of-pocket limit ($3000 - $3300) once employee has reach the out-of-pocket limit, the rest of expenses will be covered – Lifetime limit ($1 million) once employee has reach this, plan will not longer cover any expenses Medical coverage • Most plans cover: medical expenses for hospital and doctor fees, surgical expenses, anesthesia, x-rays, laboratory fees, emergency care, maternity care. • Some plans cover: physical exams, preventive care, health screenings, chemical dependency treatment, prescription drugs, dental, vision, mental health or psychiatric care, home health, nursing home and hospice care. • Must be medically necessary. • Must be usual, customary and reasonable. • Restrictions on how much they will pay for certain kinds of care • Many require pre-certification before hospitalization • Pre-existing conditions may require waiting period Types of Plans • Indemnity - pay their share of the costs of a service only after they receive a bill for you. More record-keeping involved. • Managed care – HMO - HMOs offer members a range of health benefits, including preventive care, for a set monthly fee. – PPO - has arrangements with doctors, hospitals, and other providers of care who have agreed to accept lower fees from the insurer for their services. – PSO -HMOs offer an indemnity-type option known as a POS plan. Members can refer themselves to doctors outside the plan and still get some coverage. Evaluating a Health Plan • Which of these two health plans would you choose? • http://www.ghc.org/health_plans/pdf/ValueActive07.p df (Pages 9 to 12) • http://www.wa.regence.com/docs/summary/individual /2007/breakthru50Summary.pdf • Use Health Plan Evaluation Checklist Healthcare reimbursement accounts • Employees may be able to set aside pretax salary dollars for healthcare expenses • Usually must determine the amount at the beginning of the year and salary dollars are accumulated into the account over the year • Submit medical claims for dollars – must have documentation • “Use or lose” – dollars not used for medical expenses will be lost Healthcare Savings Accounts • Health Savings Accounts (HSAs) allow you to pay for your current health care expenses and to save for future qualified medical and retiree health expenses on a tax-free basis. • Must have a High Deductible Health Plan (HDHP) an annual deductible of at least $1,050 for an individual’s coverage or $2,100 for family coverage. • For 2006, the maximum amount you can deposit into an HSA is: – $2,700 for single coverage – $5,450 for family coverage • If you are age 55 or older,42 catch-up. Healthcare insurance 1. Write down all your current and anticipated health needs. 2. Use the Health Plan Evaluation Form to compare health plans offered to you. 3. Consider setting up a flexible spending account to cover expenses your health plan doesn’t reimburse. 4. Keep good records of all health care spending for reimbursement and filing taxes. 5. If you have a high deductible health plan, consider setting up a Health Savings Account. 6. Follow instructions and ask questions of your health care provider. 7. Stay healthy by establishing good eating, exercise and other wellness habits. 43 Case Study • Jill’s healthcare plan has a $200 deductible. She just had the following medical expenses: – $150 doctor visit – $300 mammogram • Assuming that these are within the limits set for each of these procedures, what will Jill get in reimbursement? Case Study Description Submitted Approved Paid Oral Evaluation 20.67 20.67 18.6 Prophy - Adult 26.81 26.81 24.13 Fluoride Adult 10.47 10.47 9.42 Here is an explanation of benefits paid under a dental plan. Using what you earned about healthcare benefits, explain what each column is. Homeowners insurance 46 Homeowner’s insurance • Dwelling coverage. This coverage provides money for the repair or rebuilding of your damaged or destroyed home and attached structures, such as a garage or deck up to the limit defined in the policy. Usually water damage and earthquakes are not covered under this. • Coverage for other structures. This coverage provides for the repair or replacement of other permanent, separate, unattached structures on your property. The limit is typically 10 percent of the dwelling coverage. • Personal property coverage. This coverage provides for repair or replacement of your furnishings and personal items, such as your TV, stereo, clothing, dishes, etc. This is usually set at 70 percent of the dwelling coverage. 47 Coverage • Coverage for loss of use or additional living expenses. This coverage pays for your living expenses if you can’t live in your house. • Medical payments coverage. This coverage pays the medical expenses of others when they are accidentally injured on your property. • Personal liability coverage. This coverage pays expenses for bodily injury and property damage sustained by others when you are legally liable. 48 Perils 49 What is covered? • • • • • • • • • • • • flood damages Items are stolen from your home vehicles such as cars, boats and motorcycles stolen from or damaged on their property a person falls off your deck and sues a break in the water line on their property supplying water to their home a fire in your house damages due to a break in the sewer line on their property that connects to their municipal sewer system damages from earthquakes damages from mold damages from termites or other infestation your windows are shattered by a windstorm pets stolen from or injured on their50property Shopping for house insurance 1. Do an audit of your house and install safety features. 2. Do an inventory of your personal property. Get appraisals as necessary. 3. Do research on how much it will cost to replace your home. 4. Consider your assets in determining your personal liability coverage. 5. Make a list of all the coverage you want using the table below. 6. Pull your credit report and correct any errors. 7. Have a history of your house insurance claims. 8. Check rating services such as Consumer Reports. Check the Washington state Insurance Commissioner for complaints. Check for financial stability at AM Best or Standard and Poors. 9. Call the agent or broker for the insurance company you want to check out. 10. Get the quote in writing. 51 11. Compare all quotes and choose the best for you. Don’t be rushed or let What should you do if you have a claim? 52 When you have a loss: 1. Notify your agent or insurance company and ask what documents, forms, and other data you need to get your claim processed. 2. Review your policy and ask your agent or insurance company for an explanation of what is covered. 3. Protect your property from further damage. Save the receipts for temporary repairs and submit them to the insurance company for reimbursement. You should not make permanent repairs until after your insurance company has inspected the damaged property. 4. If you are unable to live in your home, tell your agent or insurance company where they can reach you. 5. Itemize your losses and include copies of receipts for larger items, such as large appliances, furniture, expensive cameras, and computer equipment. If the loss is due to a criminal act, such as burglary or theft, notify your local law enforcement agency. 6. You must prove your loss with receipts. If you don’t have receipts, then photos of the damaged or missing items may help document the loss. If your insurance company requires you to submit a “proof of loss” form, complete and submit it in 53 a timely and accurate manner. This will help prevent claim processing delays. Renter’s insurance • Personal liability (protection against claims someone else makes against you) • Premises medical coverage (pays the medical expenses of others accidentally injured on the property you rent) • Additional living expense (pays for your living expenses if the living space you rent is deemed unlivable) • Personal property (contents) coverage. Be aware that standard renter policies only cover the actual cash value at the time of the loss. 54 • It does not cover the building, but it may cover any Risk management in your 30s Retirement benefits • Provide for the individual in old age • Traditionally think of age 65 as retirement age when individual gets to enjoy sunset years – Now some people set financial goals of retiring before 65 – Individuals enjoy working and work past 65, sometimes to age 90+ – Some individuals take a reduced work schedule – Some individuals take on new challenges Retirement benefits • Defined benefit plans (traditional pension plans) • Defined contribution plans (401Ks, IRAs, profit sharing plans, and more) • Social Security Employer Retirement Benefits 60% of all workers have access to retirement benefits (51% participate) – 69% of white-collar workers – 62% of blue-collar workers – 34% of service occupations Issues in retirement planning? IRA/Keogh Percent of Total Assets in Qualified Retirement Plans State/Local 100% Federal Private Insured Defined Contribution 80% Defined Benefit 60% 40% 20% 0% 1985 1988 1991 Source: Employee Benefits Research Institute 1994 1997 2000 2002 Issues in retirement planning • It’s up to you and not your employer – save in a tax-advantaged way • How much should you save? Lots of opinions but 10% to 15% a year will be a good safety net • Don’t cash out retirement savings – it costs you a lot Defined Benefit • 20% of all workers participate in a defined benefit plan – 22% of white-collar workers – 25% of blue-collar workers – 7% of service occupations • “Traditional” pension plan based on: – Number of years of service – Highest average salary – Must be “vested” or have worked for the company for a number of years – Retirement benefit is paid for the rest of life (lifetime annuity) Defined Benefit – A simplified example Jill has worked for company XYZ for 20 years. XYZ has a defined benefit plan that gives 1.5% of the highest average five years’ salary for every year of service. Employees vest after 7 years of service. Jill’s highest average salary for five years prior to retirement is $50,000. • Jill’s annual retirement income until she dies will be: • $50,000 x 20 x 1.5% = $15,000 • What would Jill’s retirement income be if she worked 10 years? • What would Jill’s retirement income be if she worked 30 years? Note: Most defined benefit plans have a social security offset meaning they will deduct from your retirement income if you are also entitled to social security. For the purposes of this exercise, we are leaving the social security offset out. Defined Benefit – Another example • Sam worked for company XYZ for 5 years. His average salary for five years prior to retirement is $50,000. • Sam’s pension will be $0 because the vesting requirements are 7 years— therefore Sam has to have worked 7 years to get any retirement income. Defined Benefit Plans • Good news: – Lifetime income – Up to employer to make sure that money is there • Bad news: – Have to have worked at company a long time to get sufficient income (most people don’t work at a company for very long) – Expensive for employers so they are getting rid of them – When you die (unless joint and survivor is selected), it goes away Less employers offer defined benefit plans Percent of employees covered by traditional pension plans 40 35 30 25 20 15 10 5 0 1978 1980 1982 1984 Source: Bureau of Labor Statistics 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 Other considerations • Joint and Survivor – Annuity continues for spouse if s/he outlives the employee – retirement income will be lower • Early retirement results in reduced retirement income • Plans generally pay full benefits on disability but disability benefits may be tied to age and/or years of service Defined Contribution Plans • 54% have access to defined contribution plans and 43% participate • 53% of white-collar occupations • 40% of blue-collar occupations • 20% of service occupations • Employees make contributions to retirement savings plan • Employers may match contributions up to a certain amount • When employee leaves company, the money goes with him or her (portable) • Retirement income depends on how much employee contributes and the returns on the money Defined Contribution Plans • Most common defined contribution plan is 401K – 43 million participants – 457,830 plans – $2.1 Trillion in assets 401K – How it works • Salary is typically contributed pretax – will reduce your salary for tax purposes • Maximum contribution $15,000 (2006) with an additional catch-up of $5000 for those over 50 years old • 82% of employees contribute • On average participants put in 6.8% of salary • 91% of employers match your contributions up to on average 3.3% of your salary • There is a 10% penalty for withdrawing before age 59 ½ and you have to pay taxes on your withdrawal • When you leave your company, you may rollover your 401K to a Individual Retirement Account (IRA) 401K – How does it work? • Jill is single and makes $30,000 a year gross salary and she wants to put $1800 away for retirement in 30 years. • She is considering three options: – 401K contribution – Traditional IRA contribution – Roth IRA contribution Traditional IRA • Jill’s income level is low enough (less than $32,000) to put money away pretax into a traditional IRA • IRAs like 401Ks may have – Her salary for tax purposes is reduced by $1800 to $28,200 so she pays less taxes now – In 30 years, at 8% return, Jill has $18,113 which will be taxed when she takes a distribution Roth IRA • Jill’s income level is low enough to put money into a Roth IRA (less than $90,000 for single) – Her salary is not reduced so she has no tax savings now – In 30 years, at 8% return, Jill has $18,113 which will be NOT be taxed when she takes a distribution 401K • Jill puts 6% ($1800) in a 401K. Her company matches up to 50 cents for every dollar the employee contributes up to 6%. – – – Her salary for tax purposes is reduced by $1800 to $28,200 so she pays less taxes now Her company matches 3% of $900 so the total contribution is $2700 In 30 years, she will have $27,169 which will be taxed when she takes it out 401K, IRA or Roth IRA for Jill? • If a company matches, 401K is best up to the maximum of the match • If your tax rate is low now and higher when you retire or you want more flexibility on your distribution, the Roth IRA is the next best Risks with 401K • 18% to 25% of employees don’t participate or contribute • About half of those under 25 contribute • Participants don’t know how to allocate assets (100% company stock is a risk) • When people leave company they cash out their 401Ks instead of rolling it over Impact of contributions versus return Average Account Balances by Age 160000 20s 30s 140000 40s 50s 60s 120000 100000 80000 60000 40000 20000 0 1999 2000 Source: Investment Company Institute 2001 2002 2003 2004 Asset Choices • Equity – stock funds – these have the highest potential return and highest risk (volatility or tendency to go up and down) • Fixed income – bond funds Company stock – the employer’s stock • Money market funds – basically cash at short term interest rates • Stable value funds or GICs – guaranteed investment contracts or value stocks • Balanced funds – Part stock and part bond • Lifestyle funds – Funds in which assets are allocated according to age or risk tolerance 401K Asset Allocation 401K Allocation of assets by year 60% Percent of total assets 50% 1996 1999 2002 2003 2004 40% 30% 20% 10% 0% Equity Funds Balanced Funds Company Stock Bond Funds Money Funds GIC/Stable Value Funds 401K Asset Allocation Fixed Income Portfolio shifts from equity to fixed income as participant grows older Participants Company stock Balanced funds Equity funds 20% 52% in 60s 13% 13% Participants in 20s Equity funds, 37% Balanced funds, 10% Source: Investment Company Institute Fixed Income, 38% Company stock, 13% Cashing out • Jill is leaving her company and has a balance of $6000 in her 401K • She’s happy about the new job where she is getting a $2000 raise • She’s going to cash out her 401K and put a down payment on a new car—after all, she deserves it and she has another 30 years to save for retirement. • What is this costing her? Her personal tax rate is 15%. Cashing out • When she cashes out, she will pay a 10% penalty of $600 plus taxes on her $6000 (at 15%) or $900. So $1500 is out the door leaving her with $4500. • That’s not the entire cost, in 30 years that $6000 at 8% return would be $60,376. 401K Checklist 1. Try to put away 10% to 15% of your income for retirement. 2. Max out on the employer contribution. This is money that you shouldn’t leave behind. 3. Invest in index funds and save on fees. 4. Avoid taking out a loan on your 401K. 5. Determine an asset allocation that makes sense for your time horizon. 6. By setting aside your money every paycheck you will automatically be using dollar cost averaging to buy your funds. 7. Rebalance your portfolio to keep your designated asset allocation. 8. Ask about fees. You can lobby for a lower cost provider if you think that fees are too high. 9. Don’t cash out your 401K when you leave a company. It can hurt you in the future. Medicare • Federal healthcare program for elderly and disabled ($317.7 billion) – 35.4 million elderly – 6.3 million disabled • Eligibility: Workers over 65 who are eligible for Social Security and their eligible spouses • Three parts: – Part A: Inpatient hospital care – paid by current workers and employers – Part B: Outpatient services – Eligible pay monthly premium – Part D: Prescription drugs Risk management in your 40s and 50s Disability • Disability costs are 6% to 12% of payroll • One out of 7 people become disabled for 5 or more years before reaching age 65 • 3 out of 10 workers are disabled for 90 days or more • 11.6% people aged 16-67 had a work disability • 5% have disability that prevents them for working Social Security Disability • Disability is defined as so severely impaired, mentally or physically, that an individual cannot perform any substantial gainful work and must last for continuous period • Disabled worker receives monthly benefit equal to primary insurance amount at the time disability occurred – has to have 20 credits • Waiting period is five full calendar months • As of 2004: – 6.2 disabled workers and 1.8 million dependents were receiving an average month benefit of $862 Workers’ Compensation • Pays for medical care and cash benefits for workers who are injured on the job or who contract work-related illnesses • In 2002, $53.4 billion in workers’ compensation ($24.3 B medical care and $29.2 B cash benefits) • Waiting period of 3 to 7 days • Cost of workers’ compensation was declining between 1990 and 2000 due to managing health care costs, stricter eligibility and better prevention Short-term disability • 70% of private employers offer shortterm disability • Usually covers 100% of wages for a few weeks Long-term disability • Only about 25% of private employers have long-term disability • Waiting period of 3 to 6 months or when short-term disability is in effect • Eligibility may be the same as for Social Security • Generally designed to replace 60% of earnings and will be reduced by workers compensation and social security disability payments • If the employee pays premiums for this, the income is not taxed Unemployment Insurance • Federal Unemployment Tax Act (FUTA) imposes tax on wages and states may add their own tax based on turnover • Worker must have earned a certain amount of qualifying wages • One week waiting period • Worker must be able and available for work, actively seeking wor, and free of any disqualifying event (quitting voluntarily, discharge for misconduct, refusal of suitable work or being part of labor dispute) • Benefits based on percent of worker’s earnings over a recent 52-week period • Benefits paid for a maximum of 26 weeks • Additional weeks may be available in times of high unemployment Disability income insurance • Disability strikes one in four workers before age 65. • According to the US Department of Housing and Urban Development, 46% of conventional mortgage foreclosures were attributed to disability and only 2% to death. • According to research by the U.S. Department of Education and the National Institute on Disability and Rehabilitation, the most common causes of long-term disability are heart disease, back injuries, and cancer, followed by anxiety and depression. 91 Factors to consider • • • • • • • • • • • Definition of disability (own or any occupation) Elimination period before benefits start Length of benefit period (years or to age 65) Benefits for partial disability Percent of lost income replaced (typically 60%) Return to work programs Recurrent disability what happens if I return to work and then relapse Cost of living adjustment Mental health/substance abuse provisions Noncancellable or guaranteed renewable Exclusions or other limitations. 92 Life insurance • Protect your family in event of your death – Term life insurance – most benefit for premium – Permanent life insurance – whole life, universal, and variable universal. Has a saving component. 93 Questions to ask • How much do I provide for my dependents for how many years? This includes children, parents and others who depend on you for financial support. • Do my children have college tuition needs that I have to provide for? • Are there family members or organizations that I want to leave money to? • Will there be estate taxes that have to be paid when I die? • Will there be funeral arrangements that have to be paid when I die? • Total up your assets and other sources of death benefits such as social security and life insurance provided by your employer. 94 This will give you an indication of how much life insurance you Risk management in your 60s and beyond Long term care insurance • • • • • • • • • • have assets to protect can afford the premium are not currently disabled want to ensure control over your assets • don’t qualify for Medicaid • you want to protect your family from having to provide the care have few assets can’t afford the premium are already disabled qualify for Medicaid have other insurance have enough assets so you can set aside the money for care yourself • have no family or causes you want to bequeath your assets to. 96 Estate planning • • • • • • • • Will - Every person 18 years of age or older has the right to execute a will, leaving his or her property to any person or entity. No Will (Intestacy) - When there is no will or other estate planning arrangement, the "intestacy laws" specify persons entitled to the property. Gift By List - Under Washington law, certain types of personal property, mainly "tangible personal goods," can be bequeathed through a listing which is separate from a will. Joint Tenancy - Bank accounts, stocks, bonds and real estate are often owned in joint tenancy, with a right of survivorship. Under this arrangement, after the death of one of the owners, the property automatically passes to the surviving owners. Living Trust - A revocable living trust is a legal tool that can benefit some people by avoiding probate. Community Property Agreement - Washington is a community property state. That means most property acquired during a marriage is presumed to be owned equally by husband and wife. Durable Power of Attorney - A durable power of attorney is a document that appoints someone to act on your behalf. Durable Power of Attorney for Health Care - A provision citing HIPAA requirements should be included in the health care proxy emphasizing your wish that your health care providers disclose health-related information to your health-care agent if they request such information.